342700525-10-17-2023-59-AS-LMUZ-CWRR34-20231019123920

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342700525
Report Date: 10/17/2023
Date Signed: 10/17/2023 09:59:14 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/03/2023 and conducted by Evaluator Talwinder Bains

COMPLAINT CONTROL NUMBER: 59-AS-20231003154710

FACILITY NAME:	ALMOND HEIGHTS		FACILITY NUMBER:	342700525
ADMINISTRATOR:	MACDONALD, STEPHEN		FACILITY TYPE:	740
ADDRESS:	8685 GREENBACK LN		TELEPHONE:	(916) 542-7988
CITY:	ORANGEVALE	STATE: CA	ZIP CODE:	95662
CAPACITY:	145	CENSUS: 114	DATE:	10/17/2023
		UNANNOUNCED	TIME BEGAN:	09:35 AM
MET WITH:	Stephen Macdonald		TIME COMPLETED:	10:05 AM

ALLEGATION(S):

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Staff are not following a licensed physician's order for a resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 10/17/23 to deliver complaint findings for above allegation. LPA met with administrator Stephen Macdonald and explained the purpose of the visit. LPA was screened by facility staff upon entry.

The department conducted records review ,facility observations and interviews to investigate the complaint.

**Report continued on LIC9099-C**

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Laura Munoz	TELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Talwinder Bains	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 59-AS-20231003154710

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: ALMOND HEIGHTS	FACILITY NUMBER: 342700525
	VISIT DATE: 10/17/2023

NARRATIVE

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**Report continued from 9099.....

Allegation- Staff are not following a licensed physician's order for a resident. Unsubstantiated.

The department conducted interviews with staff, record review and facility observations to investigate this allegation. From record review and interviews, it has been found out that R1 had unwitnessed fall on 09/24/23 and facility sent out R1 to hospital to seek medical treatment after that fall incident. R1 sustained a neck fracture due to the fall and came back to the facility on 09/29/23 and had order to put neck brace on however there were no specific instructions as to how many hours per day the R1 must wear neck brace. Based on interviews conducted, it was learned that R1 did not like the neck brace and did not want to wear it. R1 was seen by occupational therapy (OT) on 10/02/23 who advised facility staff that R1 needs to wear their neck brace at all times, even during meals however staff can loosen it or can leave paper towel in between so R1 can enjoy the meals. Facility staff reported that R1 has poor food intake due to neck brace and R1 not wanting to wear neck brace. Additionally, facility clarified with R1s doctor and therapy regarding this issue and following the doctor’s orders for R1. Based on all this information, this allegation is Unsubstantiated.

A finding that the complaint allegations is UNSUBSTANTIATED means that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. Exit meeting conducted. A copy of this report has been provided to facility.

SUPERVISOR'S NAME: Laura Munoz	TELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Talwinder Bains	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2023

LIC9099 (FAS) - (06/04)

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